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This phenomenon is likely linked to alterations within the hypothalamic-pituitary-gonadal axis

doi: 10.31838/IJPR/2020.12.04.125 200
To be specific, serotonin is a double-edged sword which is both a friend and a foe to the liver 14

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Plasma total homocysteine levels during short-term iatrogenic hypothyroidism
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